Abstract
The rational emotive behavior therapy (REBT) theory holds that individuals with severe personality disorders in general, and borderline personalities in particular usually are biologically different from “normal” neurotics and are born with a predisposition to be highly vulnerable to stressful environmental conditions. They tend to have cognitive, emotional, and behavioral deficits or disabilities that handicap them socially, vocationally, and in other important aspects of their lives. But they also have distinct, and sometimes exceptionally strong, neurotic tendencies to demand that they absolutely must perform well, that other people have to treat them kindly and fairly, and that frustrating conditions ought not exist. Their neurosis exacerbates their cognitive-emotive-behavioral handicaps, produces even greater life difficulties, and often interferes with their working hard at therapy. A summary is presented of how borderline personalities can be treated with rational emotive behavior therapy (REBT).
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References
Adler, D., & Buie, D. H. (1979). Aloneness and borderline pathology and psychopathology.International Journal of Psychoanalysis, 60, 83–96.
Adler, T. (1992). Personality, like plaster, is pretty stable over time.APA Monitor, 23 (10, 9.
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association.
Andreason, N.C. (1979). Affective flattening and the criteria for schizophrenia.American Journal of Psychiatry, 135 944–947.
Barinaga, M. (1992). How scary things get that way.Science, 258, 887–888.
Barkley, B. A. (1990).Attention deficit hyperactivity disorder. New York: Guilford.
Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.
Beck, A. T. (1991). Cognitive Therapy: A 30-year retrospective.American Psychologist, 46, 382–389.
Beck, A. T., Freeman, A. T., & Associates. (1991).Cognitive therapy of personality disorders. New York: Guilford.
Benjamin, L.S. (1993).Interpersonal diagnosis and treatment of personality disorders. New York: Guilford.
Berenbaum, H.J. & Poltmanns, T. E. (1992). Emotional experience and expression in schizophrenia and depression.Journal of Abnormal Psychology, 101, 37–44.
Biglan, A. (1993). Capturing Skinner's legacy to behavior therapy.Behavior Therapist, 16, 3–5.
Bowlby, J. (1969).Attachment and loss. New York: Basic Books.
Brown, D. E. (1991).Human universals. Philadelphia: Temple University Press.
Cahill, K. (1983). Cognitive Therapy frontiers extend to addictions phobias.Psychiatric Times, 10 (1), 1.
Cohen, B. D., & Gara, M. A. (1992). Self-structure in borderline personality disorder.American Journal of Orthopsychiatry, 62, 618–625.
Cohen, C. P., & Sherwood V. R. (1991). Becoming a constant object in psychotherapy with the borderline patient. Northvale, NJ: Aronson.
Cole, C. A. (1991). Preliminary support for the competency-based model of depression in children.Journal of Abnormal Psychology, 100, 181–190.
Davidson, G. & Cacioppo, J. (1992). New developments in the scientific study of emotion.Psychological Science, 3, 21–22.
Davis, M. (1992). The role of the amygdala in fear and anxiety.Annual Review of Neuroscience, 15, 353–365.
Ellis, A. (1975).How to live with a neurotic: At home and at work. New York: Crown. Rev. ed., Hollywood, CA: Wilshire Books, 1975.
Ellis, A. (1958). Rational psychotherapy.Journal of General Psychology, 59, 35–49. Reprinted: New York: Institute for Rational-Emotive Therapy.
Ellis, A. (1962).Reason and emotion in psychotherapy. Secaucus, NJ: Citadel.
Ellis, A. (1965a).The treatment of borderline and psychotic individuals. New York: Institute for Rational-Emotive Therapy, Rev. ed., 1988.
Ellis, A. (1965b).Workshop in rational-emotive therapy. Institute for Rational-Emotive Therapy, New York City, September 8.
Ellis, A. (1976). The biological basis of human irrationality.Journal of Individual Psychology.32, 145–168. Reprinted: New York: Institute for Rational-Emotive Therapy.
Ellis, A. (1985).Overcoming resistance: Rational-emotive therapy with difficult clients. New York: Springer.
Ellis, A. (1988).How to stubbornly refuse to make yourself miserable about anything—yes anything! Secaucus, NJ: Lyle Stuart.
Ellis, A. (1991). The revised ABCs of rational-emotive therapy (RET).Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9, 139–172.
Ellis, A. (1992, April). Rational-emotive therapy and evolutionary psychology. Paper presented at a conference on evolutionary psychology, Mc-Lean Hospital, Boston.
Ellis, A., & Becker, II (1982).A guide to personal happiness. North Holly-wood, CA: Wilshire Books.
Ellis, A., & Dryden, W. (1987).The practice of rational-emotive therapy. New York: Springer.
Ellis, A., & Dryden, W. (1990).The essential Albert Ellis, New York: Springer.
Ellis, A., & Dryden, W. (1991).A dialogue with Albert Ellis: Against dogma. Philadelphia: Open University Press.
Ellis, A., & Harper, R. A. (1975).A new guide to rational living. North Holly-wood, CA: Wilshire Books.
Eysenck, H.J. (1967).The biological basis of personality. Springfield, IL: Thomas.
Friedberg, R. D. (1993). Inpatient cognitive games cognitive therapists play.Behavior Therapist, February, 41–42.
Gazzinga, M.S. (1993).Nature's mind. New York: Basic Books.
Gilovich, T. (1992).How we know what isn's so: The fallibility of human reason on everyday living. New York: Free Press.
Gold, J. M., Randolph, C., Carpenter, C. J., Goldberg, T. E., & Weinberg, D. R. (1992). Forms of memory failure in schizophrenia.Journal of Abnormal Psychology, 191, 487–494.
Gottesman, I. J. (1991).Schizophrenia genesis: The origins of madness. San Francisco, Freeman.
Hauser, P. (Ed.) (1992).Brain imaging and the pathology of affective disorders: Hope deferred. Washington, DC: American Psychiatric Press.
Hayes, S. C., & Hayes, L. J. (1992). Some clinical implications of contextual-ist behaviorism: The example of cognition.Behavior Therapy 23, 225–250.
Hayes, S.C., McMurry, S.M., Afari, N., & Wilson, K. (1991).Acceptance and commitment therapy (ACT). Reno, NV: Context Press.
Huessy, H.R. (1992). The varied adult psychopathologies of children's behavior disorders.Journal of Psychiatry and Neuroscience, 17, 147–157.
Iocono, W. S. (1989). Eye movement abnormalities in schizophrenia and affective disorders in C. W. Johnston and F. J. Pirozzolo (Eds.)Neuropsychology of eye movement (pp. 115–145). Hillsdale, NJ: Erlbaum.
Kazdin, A. E. (1992). Child and adolescent dysfunction and paths toward maladjustment: Targets for intervention.Clinical Psychology Review, 12, 793–817.
Kernberg, O. (1984).Object relations and clinical psychoanalysis. Northvale, NJ: Aronson.
Kernberg, O. (1985).Borderline conditions and pathological narcissism. Northvale, NJ. Aronson.
Klein, M. (1984).Envy and gratitude and other works. New York: Free Press.
Kohut, H. (1971).The analysis of the self. New York: International Universities Press.
Kohut, H. (1991).The search for the self: Selected Writings of Heinz Kohut. Madison, Ct: International Universities Press.
Larson, P. C., & Agresti, A. A. (1992). Counseling psychology and neuropsychology: An overview.Counseling Psychologist, 20, 549–553.
Lazarus, A.A. (1990).The practice of multimodal therapy. Baltimore, MD: Johns Hopkins University.
Leaf, R. C., Allington, D. E., Ellis, A., DiGuiseppe, R., & Mass, R. (1992). Personality disorders, underlying traits, social problems, and clinical syndromes.Journal of Personality Disorders.
Leaf, R. C., Allington, D. E., Mass R., DiGiuseppe, R., & Ellis, A. (1991). A Personality disorders, life events, and clinical syndromes.Journal of Personality Disorders, 5, 264–280.
Leaf, R. C., DiGuiseppe, R. (1992). Review of A. T. Beck et al, Cognitive Therapy of Personality Disorders.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 10, 105–106.
Leaf, R. C., Ellis, A., DiGuiseppe, R., Mass, R., & Allington, D. E. (1991). Rationality, Self-regard and the “Healthfulness” of Personality Disorder.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9, 3–36.
Lenzenweger, M. F., Cornblatt, B. A., & Putnick, M. (1991). Schizotype and sustained attention.Journal of Abnormal Psychology, 100, 84–89.
Masterson, J. F. (1981).The narcissistic borderline disorders. New York: Brunner, Mazel.
Meichenbaum, D. (1977).Cognitive-behavior modification. New York: Plenum.
Pediaditakis, N. (1991). Boredom: The unexplored and rarely mentioned phenomenon.Psychiatric Times, November, 49.
Pies, R. W. (1992). Splitting the discipline of psychiatry: Modern Manichaen.Psychiatric Times, April, 13–14.
Plutchik, R. (1990). Emotions and psychotherapy: A psychoevolutionary perspective. In R. Plutchik & H. Kellerman (Eds.),Emotion: Theory, Research, Research and Practice, Vol. 5. San Diego: Academic Press.
Plutchik, R., & Kellerman, H. (1990).Emotion, Psychopathology, and Psychotherapy. San Diego, CA: Academic Press.
Priester, M. J., & Clum, G. A. (1993). Perceiving solving ability as a predictor of depression, hopelessness, and suicide ideation in a college population.Journal of Counseling Psychology, 40, 79–85.
Rhodes, N. B., & Wood, W. (1992). Self-esteem, intelligence and affect influence-ability: The mediating role of message reception.Psychological Bulletin, 111, 156–171.
Rosenbaum, G., Shapiro, D. L., & Chapin, K. (1988). Attention deficit in schizophrenia and schizotypy.Journal of Abnormal Psychology, 97, 41–47.
Rourke, B. F., & Fuerst, D. B. (1991).Learning disabilities and psychosocial dysfunctioning New York: Guilford.
Ruth, W. J. (1992). Irrational thinking in human: An evolutionary proposal for Ellis' genetic postulate.Journal of Rational-Emotive and Cognitive-Behavior Therapy, 10, 3–20.
Skinner, B. F. (1938).The behavior of organisms. New York: Appleton-Century.
Skinner, B. F. (1988).On further reflection. Englewood Cliffs, NJ: Prentice-Hall.
Skinner, B. F. (1989).Recent issues in the analysis of behavior. Columbus, OH: Merrill.
Sperling, M. B., & Sharp, J. L. (1991). On the nature of attachment in a borderline population: A preliminary investigation.Psychological Reports, 68, 543–546.
Stone, M. H. (1990).The fate of borderline patients. Successful outcome and psychiatric practice. New York: Guilford.
Swanson, H. L., & Keogh, B. (Eds.). (1990).Learning disabilities: Theoretical and research issues. Hillsdale, NJ: Erlbaum.
Wilson, E. O. (1975). Sociobiology: The new synthesis. Cambridge, MA: Harvard University Press.
Yank, G. R., Bentley, K. J., & Hargrove, D. S. (1993). The vulnerabilitystress model of schizophrenia: Advances in psychosocial treatment.American Journal of OrthoPsychiatry, 63, 55–69.
Yee, C. M., Deleon, P. J., & Miller, G. A. (1992). Early stimulus processing in dysthymia and anhedonia.Journal of Abnormal Psychology, 101, 230–233.
Young, J. (1990).Cognitive therapy for personality disorders. Sarasota, Fl: Professional Resources Exchange.
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Ellis, A. The treatment of borderline personalities with rational emotive behavior therapy. J Rational-Emot Cognitive-Behav Ther 12, 101–119 (1994). https://doi.org/10.1007/BF02354607
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DOI: https://doi.org/10.1007/BF02354607